Spousal Impoverishment Income Allocation Worksheet

Subtract gross income of community spouse 3. Ssi and spousal impoverishment standards.

Access To Long Term Services And Supports A 50 State Survey Of

When a nursing home spouse is applying for medicaid the couple will need to complete a resource assessment tool based upon the resources assets owned at the snapshot date and an application for medicaid which asks for information about current resources.

Spousal impoverishment income allocation worksheet. Can reduce the total patient liability or client obligation can allocate to the community spouse or dependent family members living with the spouse combined income is less that 1992 can be allocated to the community spouse maximum allocation is 2981month. Enter on line 1 the community spouse maximum income allocation. Enter maximum community spouse income allocation 2.

The at home spouse may retain all income in hisher own name and if that income is less than 3090 the minimum monthly maintenance needs allowance or mmmna for 2018 heshe may receive an allocation from the nursing home spouses income to reach 3090. Unless a larger amount is ordered by a fair hearing or court the maximum allocation is the lesser of. If the community spouses monthly income exceeds 316050 there is no spousal needs allowance.

Equals community spouse income allocation section b dependent family member income allocation. Supplemental security income ssi effective 1 1 19 ssi federal benefit benefit rate fbr ssi resource standard income cap limit 300 earned income break even point unearned income break even point individual 77100 couple 115700 200000 300000 231300 na. 274334 plus excess shelter allowance see section 3942 elderly blind or disabled deductions and allowances up to a maximum of 316050.

1330 recipients total income 60 personal needs allowance. Spousal impoverishment protection law. 1862 worksheet 7 section a community spouse income allocation.

Spousal impoverishment income allocation. Definitions for spousal impoverishment 510 05 65 10 institutionalized spouse or home and community based services hcbs spouse asset limit 510 05 65 15 community spouse asset allowance 510 05 65 20 assets which are excluded for spousal impoverishment 510 05 65 25 income considerations for spousal impoverishment 510 05 65 30. Enter maximum dependent family member income allocation.

If there is a community spouse and the spousal impoverishment rules discussed above apply a community spouses monthly income allowance at least 200250 but not exceeding 2980 for 2016 as long as the income is actually made available to the community spouse. Deduct this amount from the couples combined monthly income. John is in a nursing home and mary lives at home.

On the spousal impoverishment income allocation worksheet see wkst 07 do the following. Spousal needs allowance an allowance of up to 316050 per month is currently allowed for the community spouse. The community spouse maximum income allocation is one of the following.

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